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Leah Nichole Basch, PA-C
Surgical Physician Assistant in Rancho Mirage, California
NPI 1760633382

Leah Nichole Basch is a Surgical Physician Assistant based in Rancho Mirage, CA and is specialized in Surgical. Leah Nichole Basch practices in Rancho Mirage, CA and has the professional credentials of PA-C. The NPI Number for Leah Nichole Basch is 1760633382 and holds a License No. 50.003762 (California).

The current practice location address for Leah Nichole Basch is 39000 Bob Hope Dr, Rancho Mirage, CA and can be reached out via phone at 760-674-3667 and via fax at 760-674-3857.

Location: 39000 Bob Hope Dr, Rancho Mirage, CA, 92270-3221
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Provider Profile Details
NPI Number
1760633382
Provider Name
Leah Nichole Basch
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
39000 Bob Hope Dr, Rancho Mirage, CA, 92270-3221
Phone Number
760-674-3667
Fax Number
760-674-3857
Provider Enumeration Date
10/01/2008
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50.003762 01 OH LICENSE
0083751 05 OH
institution
Provider Business Practice Location Address Details
Address
39000 Bob Hope Dr
City
State
Zip
92270-3221
Phone Number
760-674-3667
Fax Number
760-674-3857
person
Provider Business Mailing Address Details
Address
39000 Bob Hope Dr
City
State
Zip
92270-3221
Phone Number
760-674-3667
Fax Number
760-674-3857
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
50.003762 (Ohio)
Definition
Definition to come...
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